Provider Demographics
NPI:1467176487
Name:APANTE, LIEZL
Entity Type:Individual
Prefix:
First Name:LIEZL
Middle Name:
Last Name:APANTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LIEZL
Other - Middle Name:
Other - Last Name:BATALLA-APANTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1501 N GILBERT RD STE 120
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2393
Mailing Address - Country:US
Mailing Address - Phone:480-580-2583
Mailing Address - Fax:
Practice Address - Street 1:1501 N GILBERT RD STE 120
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2393
Practice Address - Country:US
Practice Address - Phone:480-580-2583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN000099265163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse